Centennial Peaks Hospital has been providing psychiatric services to the Denver metro area for more than 30 years. Located in beautiful Louisville, CO, our 104 bed facility provides a peaceful setting for those seeking treatment for mental illness including chemical dependency. Centennial Peaks offers unique and individualized programming for adolescents and adults that s

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Reviews concurrent medical record documentation to assign and monitor DRG assignment and provide a compl

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Our Mission Arapahoe County Department of Human Services (ACDHS) builds strong communities by promoting the safety, independence and stability of individuals and families. Our Vision To end the cycle of poverty and prevent abuse and neglect of children and vulnerable adults (using an integrated Two Generation approach) ACDHS uses an integrated Two Generation (2Gen) approa

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

This position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting pat

Our Mission Arapahoe County Department of Human Services (ACDHS) builds strong communities by promoting the safety, independence and stability of individuals and families. Our Vision To end the cycle of poverty and prevent abuse and neglect of children and vulnerable adults (using an integrated Two Generation approach) ACDHS uses an integrated Two Generation (2Gen) approa

Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen and pathway adherence. Works as a patient advocate and functions as a liaison between the patient and payer to answer routine and complex inquires reimbursement questions and avoid insurance delays. Obtains insurance authorization and pre certification

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Eagle Health is seeking an experienced Healthcare Data Analyst II to support a federal government customer. Typical duties include Use statistical and database tools to gather and analyze healthcare data. Provide analytics and data management support to Government client. Present or report findings and analytical results to non technical audience and/or Government represe

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

2000 16th St,Denver,Colorado,80202 5117,United States of America TheClinical Transformation Analyst, Clinical Quality Auditing will support the evaluation of DaVita's integrated care strategy and enable thoughtful assessment of the organization's shift to value based care. In an integrated care environment, we aim to provide the comprehensive and preventative care each pat

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco